Methods: This study utilized a mixed-methods sequential explanatory design consisting of two distinct phases: quantitative followed by qualitative (Creswell et al., 2003). The 2019 Youth Experience Survey (N = 147) data analyses focused on the risk factors of LGBTQ+ young adults experiencing homelessness and reporting sex trafficking victimization. These findings guided follow-up qualitative interviews (N = 16) to contextualize and provide insight into the statistically significant YES 2019 findings.
Results: The main findings include a) the odds of being LGBTQ+ and experiencing homelessness and reporting sex trafficking victimization were 2.41 times greater (95%CI: 1.22, 4.74) than being a cisgender heterosexual experiencing homelessness and reporting sex trafficking victimization; and b) risk factors that contributed significantly to a binary logistic regression model to predict being an LGBTQ+ young adult experiencing homelessness and reporting sex trafficking victimization included having a current medical issue, having a history of dating violence, having a childhood history of sexual abuse (ACEs sexual abuse), having a history of binging/vomiting, and having a diagnosis of post-traumatic stress disorder (PTSD). The interviews back up quantitative data for contextualization purposes.
Conclusions and Implications: The findings of this study confirm the need for more social services for LGBTQ+ young adults experiencing homelessness and reporting sex trafficking victimization. Additionally, healthcare providers must consider screening for eating disorders among LGBTQ+ young adults experiencing homelessness and reporting sex trafficking victimization. Finally, future research on LGBTQ+ young adults experiencing homelessness and reporting sex trafficking victimization is recommended.